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Contact Information

MARK RAY DALTON MD PA
901 W 38TH ST
STE 301
AUSTIN, TX78705-1166
 Phone: 512-225-6335
 Fax: 512-225-6336
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MARK RAY DALTON MD PA

NPI # 1497720817
LBN Legal business name MARK RAY DALTON MD PA
Authorized official MARK DALTON - (OWNER/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/20/2006
Last updated 08/07/2014 - About 12 years ago
Identifiers
TX Medicaid 162588101
TX Other 0044PW BCBS OF TEXAS GROUP #
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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